Oxidative killing of intracellular parasites mediated by macrophages.

An important function of macrophages is to eliminate invading pathogens, and one of their main weapons involves the generation of lethal oxygen radicals. Yet some parasites and pathogens - notably Leishmania, Toxoplasma, and Listeria and Mycobacterium - make use of macrophages as their primary cellular hosts displaying a capacity to survive the oxidative killing mechanisms of these host cells. It is now clear that more than one pathway is involved in the activation of macrophages to kill intracellular pathogens. Here, Huw Hughes discusses the biochemistry of the oxidative metabolism of macrophages, and the steps taken by parasites to survive within this hostile environment.